Autumn Grove Care Center

LBN: Bonetti Health Care Center, Inc
Autumn Grove Care Center is an health care organization with primary practice located at 555 S Main St , Harrisville PA 16038-1623. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Bonetti Health Care Center, Inc can be contacted via phone (724) 735-4224, or through Maurano, Matthew R via phone (724) 735-4224.

Contact Information

Primary practice address
555 S Main St Harrisville PA 16038-1623
Fax: (724) 735-0103
Website:
Authorized official contact:
Name: Maurano, Matthew R NHA

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 022102 Pennsylvania

Profile Details

NPI number 1255323986
LBN Legal business name Bonetti Health Care Center, Inc
DBA Doing business as Autumn Grove Care Center
Authorized official Maurano, Matthew R NHA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2005
Last updated Oct 25th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255323986 NPPES
Other 0569 BLUE CROSS
MEDICAID 0007573330003 BLUE CROSS

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